Individual
DR. MICHAEL EDWARD THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
2801 MAPLECREST RD, FORT WAYNE, IN 46815-7015
(260) 485-2000
(260) 486-8600
Mailing address
2801 MAPLECREST RD, FORT WAYNE, IN 46815-7015
(260) 485-2000
(260) 486-8600
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
1200871
IN
Other
Enumeration date
01/08/2008
Last updated
01/08/2008
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